Exactly...Me too wishing that I could get a MRI in my centre in 4.hours....sometimes it took more than a day to get it...heck Ct scan took 6 hours sometimes even
I’ve only seen this after a PM&R “Spine Specialist” performed their epidural steroid injections on a Diabetic patient, for Pain Management. Btw-That irresponsible physician told the patient to go show up at a Neurosurgeon’s office at 4:30pm on a Friday. Just when you think you’ve heard it all….
Recently reviewed a case about left leg weakness, mostly the foot, MRI Lspine showed left L45 stenosis explaining the weakness, referred to Neurosurgery who booked L45 laminctomy but patient then developed proximal left leg then left arm weakness and twitching, seen by a different PCP partner, change not conveyed to neurosurgeon and PCP thought it was separate problem, last moment 3 days before surgery the PA astutely ordered MRI brain during Preop H&P when she put it all together. Patient had large R frontoparietal meningioma so surgery changed to craniotomy. A near miss!
Great catch! I've seen a lot of cases when a deficit ends up being caused by something at a different CNS level than what was expected. I'm not saying every patient needs pan-CNS imaging, but when new deficits start to pop up that don't localize as expected, we need to take a step back and consider other causes.
I wish I could always get an MRI within 4 hours of ordering without calling a stroke code
Yeah, this attorney seems excited to show that they were slow... but if you look at the actual times it's probably faster than most places.
Exactly...Me too wishing that I could get a MRI in my centre in 4.hours....sometimes it took more than a day to get it...heck Ct scan took 6 hours sometimes even
I’ve only seen this after a PM&R “Spine Specialist” performed their epidural steroid injections on a Diabetic patient, for Pain Management. Btw-That irresponsible physician told the patient to go show up at a Neurosurgeon’s office at 4:30pm on a Friday. Just when you think you’ve heard it all….
Seems suboptimal for a new diagnosis of spinal epidural abscess...
Recently reviewed a case about left leg weakness, mostly the foot, MRI Lspine showed left L45 stenosis explaining the weakness, referred to Neurosurgery who booked L45 laminctomy but patient then developed proximal left leg then left arm weakness and twitching, seen by a different PCP partner, change not conveyed to neurosurgeon and PCP thought it was separate problem, last moment 3 days before surgery the PA astutely ordered MRI brain during Preop H&P when she put it all together. Patient had large R frontoparietal meningioma so surgery changed to craniotomy. A near miss!
Great catch! I've seen a lot of cases when a deficit ends up being caused by something at a different CNS level than what was expected. I'm not saying every patient needs pan-CNS imaging, but when new deficits start to pop up that don't localize as expected, we need to take a step back and consider other causes.